Evran Seyfi, Beker-Acay Mehtap, Saracli Sinan, Acay Akif, Kacar Emre, Kaya Furkan
Radiology, Afyonkarahisar State Hospital, Afyonkarahisar, TUR.
Radiology, Afyonkarahisar Health Sciences University, Afyonkarahisar, TUR.
Cureus. 2020 Dec 18;12(12):e12143. doi: 10.7759/cureus.12143.
This study aims at using sonoelastography as a novel technique to evaluate the stiffness and thickness of Achilles tendons in familial Mediterranean fever (FMF) patients.
Achilles tendons of 26 FMF patients and 23 control subjects were assessed with ultrasound and real-time sonoelastography. The Achilles tendons were divided into the distal, middle, and proximal thirds for elastographic image evaluation. Tendons were classified into three main types according to their elasticity features: grade 1 blue (hardest tissue) to green (hard tissue); grade 2, yellow (soft tissue); and grade 3, red (softest tissue). Tendons of the groups were compared in terms of thickness and stiffness.
There were no significant differences in thickness and stiffness of the Achilles tendon between FMF patients and controls (p>0.05). Sonoelastography of Achilles tendons of FMF patients displayed no relationship between FMF and tendinopathy. Conclusion: This issue should be explored in prospective studies in larger groups.
本研究旨在使用超声弹性成像这一新技术评估家族性地中海热（FMF）患者跟腱的硬度和厚度。
对26例FMF患者和23例对照者的跟腱进行超声和实时超声弹性成像评估。将跟腱分为远侧、中间和近侧三分之一用于弹性成像评估。根据肌腱的弹性特征将其分为三种主要类型：1级蓝色（最硬组织）至绿色（硬组织）；2级，黄色（软组织）；3级，红色（最软组织）。比较两组肌腱的厚度和硬度。
FMF患者与对照者跟腱的厚度和硬度无显著差异（p>0.05）。FMF患者跟腱的超声弹性成像显示FMF与肌腱病之间无关联。结论：该问题应在更大样本的前瞻性研究中进行探索。
